Empower youth for reproductive rights
Today, nearly half the world’s population is under the age of 25. These three billion people—the largest-ever generation of young people—are our future and our present. Each has an indispensable role to play in achieving international development goals, driving economic and social development and shaping the course of history.
Yet around the world, young people are all-too-often unable to make critical choices that impact their futures.
In the world’s poorest countries, contraception use is low, and one in three women has a child before the age of 18.
In sub-Saharan Africa, 53 million women want, but do not have access to, modern contraception—and the unmet need is greatest among women under the age of 20. In Malawi, for example, one in five adolescent girls has a child by age 17.
For far too long, the issues of reproductive health and family planning for adolescents have been taboo, and in many parts of sub-Saharan Africa, the issues have been almost completely ignored. Consequently, pregnancy- and childbirth-related complications remain the leading killer of teenage girls in developing countries—and sub-Saharan Africa has the highest rates of maternal mortality in the world. And countless girls who drop out of school due to early pregnancies do not learn the skills they need to gain paid employment and contribute productively to their families, communities and nations. These facts cannot be ignored and what we urgently need now is more support from every sector of society.
First, we need developing country governments and donors to prioritise and scale up youth sexual and reproductive health programmes. This includes comprehensive sexuality education that teaches young people about their rights and their options, as well as programmes to ensure that girls and young women have access to a range of contraceptive methods. We also need government to pass supportive policies that impact reproductive health like increasing the legal age of marriage in countries where child marriage is still prevalent.
At the July 2012 London Summit on Family Planning, Malawi pledged to raise the country’s contraceptive prevalence rate to 60 percent by 2020, with a focus on girls and women aged 15 and 24. This goal is a sign of the Malawian government’s commitment to improving access to the family planning services that Malawian girls and women want and deserve.
Second, we need to reduce the stigma associated with youth sexuality. Even when girls and young women are informed about family planning and services are available, many do not access the services due to fear of reproach or criticism. To lower cultural and social barriers to reproductive care, we must engage community leaders—including political and religious leaders in Malawi—as champions for youth sexual and reproductive health and rights. We also need to train health care workers to provide services to young people confidentially and without judgement.
Third, we need to encourage and empower young people to be their own advocates and agents for change. Young people in Malawi and everywhere have the right to the knowledge, tools and services they need to make informed decisions about their bodies and live full, healthy and productive lives.
For too long, these young leaders have been on the sidelines of the global dialogue about health and development. We must bring them into the conversation.
Recently, Women Deliver brought 100 Young Leaders to its third global conference in Kuala Lumpur, Malaysia, with the goal of building youth capacity to advocate for issues around maternal and reproductive health. At the conference, these 100 Young Leaders spoke passionately about the challenges youth face, and shared their strategies to fight for change. Giving youth a voice at international forums like these is an important first step forward.
And, finally, we must involve boys and men in the process. This week, as we celebrate World Contraception Day on September 26, let us all take up the charg to make sure that young people have the information, services and support they need to become agents of change for girls and women around the world.
Jill Sheffield is the founder and president of global advocacy organisation Women Deliver. Remmy Shawa is the International Sida project coordinator for the Sonke Gender Justice Network, a South Africa-based non-profit that focuses on gender equality, gender-based violence prevention and HIV and Aids, and one of the Women Deliver 100 Young Leaders.
